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HomeMy Public PortalAbout5226 DEGAS AVE_Electrical__ 76A663-CEBO6,IO-82 APPLICATION FOR ELECTRICAL PERMIT _ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING S BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. I RECEPT. TOTAL NO. EACH FEE OUTLETS FIRST 20 p� B 20 OWNER s L16HT , aL MAIL swIT... 10 / 1/ 9 OV""50 29 IJ ADDRESS TOTAL a CITY TEL. NO. LIGHTING I FIRST 20 .20 / FIXTURES Jr ADWL f0 ELECTRICIAN - CO• OVER 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS p:MC-Df$p. STA.COOK l Aj CITY TEL.NO. b G cu eeu- AUTO.-WASH. STATE A SPACE HTRS. STA.APP. : A .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. ,DISTR CT NO. GyR.00UP . ZON_ E PRO SSED, BY O t 1.00 1 3 1.50 INSPECTION RECORD j 3 s 2.00 4_1-ZS— u R.G' mOTLIEMS d a 1s 2.50 t O 15 50 3.00 { W12 I 12L G T O II'• so 100 I 5.00 Q-V F.T < f)AAA — 0 SIGNS: NO.TRANS. 6 NO.LAMPS W( CALL HQ In 1 wita l Zt 1k J Z LL' SERVICE 0.60OV.NOT OVER 200A 1.00 C SERVICE 0.60OV-OVER200 A. 2.00 A SERVICE OVER 600V 5.00 MISC. TSP T - ONL °l b E(, Fo ILLIJMINOuSC( 'o-T It PERMIT ISSUING FEE2.00 y♦) 7 A*J SUPPLEMENTARY PERMIT ISSUING FEE 1.00 i/�� 5tU7/Le, d/GtF.Y' A •�J( r y TOTAL FEE $ J ae#tr 007'slodr u lI HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE I INSPECTOR'881GNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING fF `` — ELECTRICAL WIRING. WIRING t Nt ' I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED PND/OR '] ( LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES I Z. c CALIFORNIA OR THAT IAM THE LEGAL OWNER OF TME ABOVE y ,� DESCRIBED RESIDENTIAL PROPERTY. POWER I SIGNATURE UTILITY CO.NOTIFIED -IeJ OF PERMITTEE / jj /R{ n.... _ .. I FINAL II I Q 1'�L lY%1 /V-�LIDATION ARTHUR C. VETT I (CK MO CASH SUPERVISING ELECTRICAL ENGINEER I ' 8 7 6` D itF- 2 3 z D 1 3.5 0 c 7GA663-CE80610-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING i� BUILDING AND SAFETY DIVISION ADDRESS LS :S1 - JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN. Suri of BUILDING LO / CALITY ///��p4 /^�Ll�l FOR APPLICANT TO FILL IN ss caoNEAREST sT. RECEPT. > l TOTAL NO. EACH FEE J OUTLETS FIRST 20 $.20 $ OWNER LIGHTMAIL swlrc H. ADD L' ADDRESS OVER L 1D TOTALCITY TEL. NO. LIGHTING l OVER 2O FIRST 20 .20 X.- FIXTURES 111 ABB'L 10 ELECTRICIAN - CE'- / RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS '! GARB.DISP. STA.COOK .I n CITY SO' AJ` LG E .NO. 6 __ D13HWABH. AUTO.-WASH. STATE , SPACE HTRS. STA.APP.(% LICENSE NO.H.P.MAX.) .50 _ MOTORS: OVER NOT OVER H.P. DISTRICT�NO OUP ZONE PRC D O 1 1.00 A (J 1 — 3 1.50 IN PE TION RECORD 3 6 12.00 8 is 1 2.50 0 15 50 3.00 y. 50 100 5.00 W SIGNS: NO.TRANS. 1a N LALAMPB y w' SERVICE 0-60OV-NOT OVER 200A 1.00 z SERVICE 0-60OV-OVER 200 A. 2.00 Si SERVICE OVER 600V 5.00 4 MISC. T� I. PERMIT ISSUING FEE 2.00 mo SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ �J �Ll I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING' IIF CERTIFY THAT 1 AM PROPERLY REGISTERED ANOIOR jrIM} LIC EMBED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE UTILITY CO.NOTIFIED it OF PERMITTEE ^� I FINAL J� (OKmo ON ARTHUR C. VETT - E CK MO CASH SUPERVISING ELECTRICAL ENGINEER L11 0 9 0 6 0 (F-IP, 2 2 D 3.40- d WORKER'S h ve a certificate of consent to 76A66sDPw"2-91' APPLICATION FOR ELECTRICAL PERMIT 0 001 1 hereby affirm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT:OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec. 3800 Lab.. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB as G ❑ Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOCALITY r ❑ Certified co is filed with the count building inspection 1 &2-Family,Sq. Ft. S $ PY Y 9 P — department. Multi-family Sq. Ft. NEARESTCROSS ST. Date - Applicant Residential Swimming Pools ASSESSOR MAP BOOK j;,= PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' — OWNER OR COMPENSATION INSURANCE Outlets:Rec. Light Sw. FIRM NAME First 20 MAIL permit is fon need not be comps($1 0 the work involved by the ADDRESS permit is for one hundred dollars($100)or less.) Total No. Additional i I certify that in the performance of the work for which this permit CIT TeI. —Q7 is issued. I shall not employ any person in any manner so as to PLANCHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT / '� ^L i iiWno- Total No Additional ADDRESS Date ✓4 O�•-I/ Applicant +(� I Y/ RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: 11, after making this Certificate of CITY TeI.No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked, Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 lncl,. (commencing with Section 7000) of Division 3 of the Business and CITY , If• Professions Code, and my license is in full force and effect. Over 10 to 50 Ind. LICENSE OR 6/l�2 Z Class�� `G Over 60 ro 100 Incl. REG.NUMBER OO �Ja G 2 G Z L—.c Over 100 a License NO er Lia Class DISTRICT NO. P SED BY Q y�f _ Services5dww/b!�?CC&Panelboards p v� 9/LGt—��V Contra CY�G . �.5 u-3eeH p: nd 600V �D Q oln1E / 1 F ❑ Amp. Under 600 V ��/'q VALIDATION V I am exempt under Sec. ver 1000 Amp.or Over 600 V FINAL 0l B.BP.C.for this reason RA CH CIRCUIT FEES BY � Date: 15A,or 20A, 120V, Lighting or Recept. Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. ISA,20A,208V To 2]]V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances 7 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ACCT.AV I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits 330-6 65,60 Code): V ❑ I,as owner of the property, will do the work and the structure Misc.Conduits&Conductors 1 ITEMS L 60 - f rh is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) D TOTAL 65 a and Professions Code). CHEGY, 65.60 CONSTRUCTION LENDING AGENCY CHANGE .00 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) ,3 G Civ. C.) PLAN CHECKING FEE 0000-0001 8/30195 Lender's Name PERMIT ISSUING FEE o2 d' 211E 1 AM11%33 Lender's Address I certify that I have read this application and under penalty of perjury state TOTAL FEE that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize representatives of this County to enter upon the above-mentioned property finspection poses. SEE REVERSE FOR EXPLANATORY LANGUAGE V SIGN IRE OF RM E WORKERS' COhFENSATION DECLARATION J6A663 ID/B. APPLICATION FOR ELECTRICAL PERMIT 'S hereby-�rfirm'that I'have a certificate of consent to self LE-6o6G 'inWre, or At,-.e,ctlflcate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, LA C.),* SUKIA�GP Policy No WP 60S.0 Company_`4=)n r .K. - FOR APPLICANT TO F10.IN JOB © Certified co is hereby furnished. EACH . NO. FEE ADDRESS ,�a 2(o PY Y New Residential Bldgs. 8 Pools ❑ 18 2-Fomil q. $ — $ LOCALITY oc Certified copy is filed with the county building inspec- y, 5 tion department. Multi-family Sq. Ft. — NEAREST p CROSS ST. Date 11 Applicant Y.-1`aa rondo n �(,r�dOrt Residential Swimming Pools OWNER OR IRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec_LightSw,_ 'MAIL IO �6 Q assn _ COMPENSATN INSURANCE ADDRESS a (This section need not becompleted if the work involved by First 20 Total No. CITY Tel. No the permit is for one hundred dollars ($I00)or less.) Additional e C L} I 9S -95 2 I certify that In the performance of the work for which this 1.11 CHECK { '.✓Z Co , 'C 1 permit is issued, I shall not employ any person in any manner APPLICANT A, if w1C so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS _e5 Q Total No. Additional Date O- c- Applicant �Wrn 41ow .�. �otrp, Fixed Appliances Not Over I HE PETY RMIT this • F�s Tel. No 1B 7_ GS NOTICEYO (CANT: If, after making this Certificate of APPLICANT ., Exemption, you should become subject to the Workers' Range_ Heater—D.W. — t" a Compensation provisions of the Labor Code, you must forth- Oven _ Dryer _ W.M._ ADDRESS v5 QwS rade 43✓� VE with comply with such provisions or this permit shall be Top _ FAU —W.H. — deemed revoked. Hood _ Fan _ Other_ CITY p,4eo A Tel. LICENSED CONTRACTORS DECLARATION LICENSE OR Disp. Room Air Cond. Class. z/ 3 j rp 1 } (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROCES D Y fL' and Professions Code,and my license is in full force and effect. Power Apparatus 8 Large Appliances (/ O Size 8 Type HP, KW, KVA, or KVAR o V License Number "i" y33 6 5 Lic. Class Up to 1 Ind. FINAL fY -� �. LM u I Over 1 to 10 Incl. DATE ✓Q VALI ATION �' Contractor Dal❑ Over 10 to 50 Ind. FIN,KL W I am exempt under Sec. Over 50 to 100 Inc. 8V n.' U) B.BP.C. for this reason Over 100 U) Date 4Z Services, Swbd., MCC 8 Panelboards D 0 -2D0 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ - Over 1000 Amp. or Over 600 V Exemption for Reg. Main ect. SINGLE FAMILY Temp. Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits 3 5 9.7 A Low for the following reason (Section 7031.5, Business and Professions Code): # s e s o e 2 ❑ I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ D ( e e 2 5 5 0 7044, Business and Professions Code). e e e 2 Ij Q V CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for I 204-85 the performance of the work for which this permit is issued PERMIT FEE' (Sub-Total) (Sec 3097, Civ, C.). PLAN CHECKING FEE Lender's Name /' PERMIT ISSUING FEE a Lender's Address ' I certify that I have read this application and state that the TOTAL FEE p2SSD above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon they ov -mentioned pro y for inspection purposes. / pp SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of P7 - ee / Dat WORKERS t I.,ha e"a.cONaEte of consent CE 863 ID/BI APPLICATION .FOR ELECTRICAL PERMIT I hereby q/firm that I,hove a certificate of consent to self GF806G dnyure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800, Lab. C.) f Policy No. Company ��nl'k�l./pMM JAI FOR APPLICANT TO FILL IN JOBn T E-9Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS L -P ii ❑ Certified copy is filed with the county buildin nsp - I & 2-Family, Sq. Ft. $ — $ LOCALITY ThrAllivill C r tion depa tmeol. Multi-family Sq. Ft. — NEAREST n MAI CROSS ST. F`MA �6 i Residential Swimming Pools OWNER OR Date Applicant FIRM NAME Ill/p CER IFICATE OF EXEMP N INSURANCE Outlets: Rec Light_Sw. "WAIL COnot be co INSURANCE First 20 ADDRESS (This section need not be completed if the work involved by Total No. CITY Tel. No. the permit is for one hundred dollars ($100) or loss.) Additional I certify that in the performance of the work for which this PLAN CHECK permit is issued, I shall.not employ any person in any manner APPLICANT so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel. No. Date Applicant Fined Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of *^l 1_/ ` �r Exemption, you should become subject to the Workers' Range_ Heater_D.W. — APPLICANT Y/7vA/�,p pC, p Compensation provisions of the Labor Code, you must forth- Oven _ Dryer _ W.M.— ADDRESS _709lAr 6ii eW 91i ili with comply with such provisions or this permit shall be Top — FAU —W.H. — p deemed revoked. Hood _ Fan OtherCITYW&yM ii V1 r Tel. NVp MJ*i LICENSED CONTRACTORS DECLARATION _ _ LICENSE OR o I hereby affirm that I am licensed under provisions of Chapter 9 Disp. Room Air Cone. C/CREG. NUMBER / Class.0�Q (commencing with Section 7000) of Division 3 of the Business DISTRICT NO, PROCES D }' and Professions Code,and my license is in full force and effect. Power Apparatus 8 Large Appliances ,�^ /�Q' 0 /J Size 8 Type HP, KW, KVA, or KVAR' sJ . ✓ Q C,) License Numberg7� ��� Lic Class -/O Up to 1 Incl. FINAL O.S aG � /A/ ��, r� Z�2�/ 7 Over I to IO Incl. DATE r��. / VALID ION O Contractor Dote Over 10 to 50 Incl. FINAL t / •`-+ W ❑ am exempt under Sec. Over 50 to 100 Inc. BY d B.&P.C. for this reason Over 100 N z Date. Services, Swbd., MCC & Ponelboards D 0 - 200 Amp. Under 600 V �38S8A Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V # e • e e e 2 SINGLE FAMILY Temp. Power Pole & Appurtenances '( - - 2S50 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ' x I hereby affirm that I am exempt from the Contractor's License e e e 2 5 5 Q v Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Professions Code): 0 �, � b 8 6 ❑ I, as owner of the property, will do the work and the Misc. Conduits& Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ D 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for - the performance of the work for which this permit is issued PERMIT FEE - (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE a Lender's Name n PERMIT ISSUING FEE XS Lender's Address 'I I ceitify that I have read this application and state that the TOTAL FEE above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize repres tativ of this County to enter upon the above-mentioned pert for inspectio purp ses. SEE REVERSE FOREXPLANATORY LANGUAGE �v'Yh J l6 Signature of Per tree ate